Elixir Industry Mail Order Form - Easy Form

For U.S. Only. All Funds Are in US Dollars

Print And Mail, Or Simply Write Down On Paper

For Use Before 2/28/2022

We Are Open 24hours a Day, 7days a Week.

1-800-395-5715

Make Money Order/Bank Draft/Check payable to Elixir Industry

EZCap = EZorb Capsule  EZPow = EZorb Powder  Marv = Marvlix

Order Items

Total

Check One

Order Items

Total

Check One

1 EZCap

$61.90

 

1 EZCap 1 EZPow

$113.85

 

2 EZCap

$116.85

 

2 EZCap 1 EZPow

$157.47

 

3 EZCap

$160.26

 

1 EZCap 2 EZPow

$154.68

 

4 EZCap

$211.36

 

3 EZCap 3 EZPow

$289.17

 

5 EZCap

$262.47

 

4 EZCap 2 EZPow

$291.81

 

6 EZCap

$297.06

 

2 EZCap 4 EZPow

$286.53

 

12 EZCap

$547.66

 

6 EZCap 6 EZPow

$532.90

 

1 EZPow

$58.90

 

9 EZCap 3 EZPow

$540.28

 

2 EZPow

$110.85

 

3 EZCap 9 EZPow

$525.52

 

3 EZPow

$151.89

 

8 EZCap 4 EZPow

$537.82

 

4 EZPow

$200.20

 

1 EZCap 1 Marv

$114.89

 

5 EZPow

$248.52

 

2 EZCap 1 Marv

$158.44

 

6 EZPow

$281.25

 

1 EZCap 2 Marv

$156.61

 

12 EZPow

$518.14

 

2 EZCap 2 Marv

$207.72

 

1 Marvlix

$59.94

 

3 EZCap 3 Marv

$291.91

 

2 Marvlix

$112.93

 

4 EZCap 2 Marv

$293.64

 

3 Marvlix

$154.79

 

2 EZCap 4 Marv

$290.19

 

4 Marvlix

$204.07

 

6 EZCap 6 Marv

$538.01

 

5 Marvlix

$253.35

 

2 EZPow 1 Marv

$152.86

 

6 Marvlix

$286.74

 

3 EZPow 3 Marv

$283.99

 

12 Marvlix

$528.37

 

6 EZPow 6 Marv

$523.25

 

For more selections use the regular fax/mail order form

Name:

Phone:

Street:

City, State ZIP:

Mail completed form with money order or check to:

Elixir Industry, PO Box 8819, Brea, CA 92822-5819, USA